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BIOMECHANICS OF
POSTURE
MODERATOR- Mr. Prabhu. C
Presented By- Kumar Vibhanshu
Definition
Posture is the attitude assumed by the body
either with support during muscular
inactivity,or by means of the co-ordinated
action of many muscles working to maintain
stability
INTRODUCTION
•Static and Dynamic Posture
•Posture Control
•Major Goals and Basic Elements of
Control
Static and Dynamic
Posture
•Static- body and its segments are aligned
and maintained.Eg’s Sitting, Standing.
•Dynamic- body or its segments are
moving.Eg’s Walking, Running

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Erect bipedal stance
Advantage: freedom for upper
extremities
Disadv: -increases work of heart
-increase stress on vertebral
col.,pelvis,LE
-reduces stability
-small BOS and high COG
Quadrupedal stance
-Body weight is distributed b/w UE
and LE
-Large BOS and low COG
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Postural Control
It is a persons’ ability-maintain
stability of body and body segments in
response to forces that disturb the
bodys’ structural equilibrium

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•Posture control depends on integrity of
CNS,visual, vestibular and musculoskeletal
system
•It also depends on information from
receptors located in and around joints
(jt.capsules,tendons and ligaments) and from
the sole of feet
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Elements of Control
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•Maintain bodys’ COG over BOS
•Stabilize the head vertically- eye gaze is
appropriately oriented
-Absent or altered inputs:
•In absence of normal gravitational force in
weightless conditions during space flight
•Occurs in decreased sensation of LE
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signals from the CNS
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- “PERTURBATION” is any sudden change in conditions
that displaces the body posture away from equilibrium
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Postural responses to perturbations caused by
either platform or by pushes or pulls are called
REACTIVE or COMPENSATORY response
These responses are a.k.a SYNERGIES or
STRATEGIES
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Fixed-support synergies:
patterns of muscle activity in which the
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•stability is regained through movements of
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PosturePosture
Posture

This document discusses posture and factors that affect it. It defines good posture as optimal muscular balance and efficiency. Posture changes throughout life and with activity. The spine curves allow strength and mobility. Maintaining upright standing, sitting, and lifting postures protects the back, while improper forms can strain muscles and ligaments over time. Small postural sways help prevent fatigue and aid circulation while balancing.

HUMAN POSTURE and it is help full for physiotherapy and neursing students.PPT
HUMAN  POSTURE and it is help full for physiotherapy and neursing students.PPTHUMAN  POSTURE and it is help full for physiotherapy and neursing students.PPT
HUMAN POSTURE and it is help full for physiotherapy and neursing students.PPT

The document discusses human posture from several perspectives. It defines posture as the relative arrangement of body parts and notes that it can vary based on activity and over time. A good posture is described as muscular and skeletal balance that protects the body from injury while allowing efficient muscle function. Several factors are described that can influence posture, including mechanical factors like body structure and the line of gravity, as well as psychological and environmental factors. Different types of postures like easy, fatigue, and rigid postures are also outlined. Faulty posture is defined as an asymmetrical strain on the body that can lead to long-term joint and muscle issues if not addressed.

Biomechanics of hip
Biomechanics of hipBiomechanics of hip
Biomechanics of hip

1) The hip joint is a ball and socket joint that connects the femur to the pelvis and allows for flexion, extension, abduction, adduction, and rotation. It is stabilized by strong ligaments and powered by surrounding muscles. 2) Biomechanics examines the forces acting on the hip joint during various activities like walking, running, and standing. The forces are counterbalanced to allow for stability and mobility. 3) Hip disorders are managed by reducing joint reaction forces through decreasing body weight moments, improving abductor function, and redistributing forces through aids like canes or limping.

biomechanicship jointorthopaedics
Lordosis
It refers to an abnormal increase in the
normal anterior convexities of either
the cervical or lumbar regions of the
vertebral column
Biomechanics of posture
Biomechanics of posture
Biomechanics of posture

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Postural deviation refers to any abnormal alignment or positioning of the body's joints and structures while standing, sitting, or moving. These deviations can occur due to a variety of factors, including muscle imbalances, skeletal abnormalities, poor posture habits, injuries, or neurological conditions. Postural deviations can affect people of all ages and can lead to discomfort, pain, reduced mobility, and functional limitations if left unaddressed. There are several common types of postural deviations: *Kyphosis: This is an excessive curvature of the upper back, leading to a rounded or hunched posture. It can result from factors such as poor sitting habits, weak back muscles, or structural abnormalities in the spine. *Lordosis: Lordosis is an exaggerated inward curvature of the lower back, often causing the pelvis to tilt forward and the abdomen to protrude. Factors contributing to lordosis include tight hip flexors, weak abdominal muscles, obesity, or pregnancy. *Scoliosis: Scoliosis is characterized by an abnormal sideways curvature of the spine, which can cause the shoulders, hips, or waist to appear uneven. It can be congenital or develop during growth spurts in adolescence. *Forward head posture: This occurs when the head juts forward from its ideal alignment with the spine. It can be caused by prolonged sitting, excessive screen time, weak neck muscles, or carrying heavy backpacks. *Flat feet: Flat feet, or pes planus, is a condition where the arches of the feet collapse, causing the entire foot to make contact with the ground. This can lead to altered gait patterns and contribute to knee, hip, and back pain. *Knock knees and bow legs: Knock knees (genu valgum) is when the knees angle inward, while bow legs (genu varum) is when the knees angle outward. These deviations can be due to genetic factors, abnormal bone growth, or muscle imbalances around the knees. *Uneven shoulders or hips: A noticeable difference in the height or alignment of the shoulders or hips can indicate postural deviations such as scoliosis, muscle imbalances, or leg length discrepancies

posturepostural deviationkyphosis
posture-150118053346-conversion-gate02.pdf
posture-150118053346-conversion-gate02.pdfposture-150118053346-conversion-gate02.pdf
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This document discusses human posture and provides information on proper and improper posture. It begins by defining posture and listing the components of proper posture using the acronym POSTURE. It then classifies postures as inactive, active static, or active dynamic. Key points include: - Proper posture, known as correct posture, distributes weight evenly and keeps joints stable while maintaining upright ribs, retracted shoulders, and ears over shoulders. - Common faulty postures include lordotic, kyphotic, scoliotic, swayback, and flat back postures, each with different causes and potential sources of pain. - Maintaining good posture requires strong core muscles as well as flexibility in joints and surrounding tissues. Exercises target

no tag
Gait Cycle.pptx
Gait Cycle.pptxGait Cycle.pptx
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It is about the posture and gait cycle, stages. With understanding of crossed syndrome at the end you can manage your treatment plan for stretching of the muscles and strengthening of the other group of muscles

gait cycleposturecrossed syndrome
Biomechanics of posture
Kyphosis
It refers to an abnormal increase in the
normal posterior convexity of the thoracic
vertebral column
Biomechanics of posture
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This is for review of posture and gait cycle and at the end something about crossed syndromes and quick guide for treatment as stretching and strengthening exercises to fix issues

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Neurological Gait Rehabilitation
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This document discusses neurological gait and gait rehabilitation. It begins by defining normal gait and describing common pathological gaits that can result from neurological conditions, including hemiplegic, spastic diplegic, Parkinsonian, myopathic, and ataxic gaits. Specific characteristics and management approaches are described for each type. Rehabilitation approaches covered include traditional gait training exercises, use of assistive devices, high-tech options like body-weight supported treadmill training and electrical stimulation, as well as strength and balance training. Surgical management is also briefly discussed for some conditions.

physical therapyphysiotherapyphysiotherapist
Biomechanics of posture
Gibbus
•a.k.a Hump Back is a deformity that may
occur as result of TB
•It forms a sharp posterior angulation in the
upper thoracic region of vertebral column
Biomechanics of posture
Dowager’s Hump
•Found in post-menopausal women with
osteoporosis
•Anterior aspect of bodies of series of
vertebra collapse due to osteoporotic
weakening and therefore, increase in post.
convexity of thoracic area

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Optimal alignment-Anterior aspect
Body segments
• Head
• Chest
• Abdomen/hips
• Hips/pelvis
• Knees
• Ankles/feet
LOG location
• Middle of forehead,nose,chin
• Middle of xyphoid process
• Through umbilicus
• Line equidistant from rt and lt
ASIS and through symphysis pubis
• Equidistant from medial femoral
condyles
• Equidistant from the medial
malleoli
Optimal alignment-Posterior aspect
• Head
• Shoulders/spine
• Hips/pelvis
• Knees
• Ankles/feet
• Middle of head
• Along vertebral column in a
straight line,which should bisect
the back into two symmetrical
halves
• Through gluteal cleft of buttocks
and equidistant from PSIS
• Equidistant from medial jt. aspects
• Equidistant from medial malleoli
Anterior-posterior View – Deviations from
the optimal alignment
•Foot and Toes: -Pes planus
-Pes cavus
-Hallux valgus
•Knees: -Genu valgum
-Genu varum
-Squinting or cross-eyed patella
-Grasshopper eyes patella
•Vertebral column: -Scoliosis
Pes Planus(flat foot)
•It is characterized by reduced or absent arch,which
may be either rigid or flexible
•Talar head-displaced-ant.,med.,inf. and causes
depression of navicular bone and lenghthening of
tibialis post. muscle
•Navicular lies below the Feiss line and may even
rest on the floor in severe conditions

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•Rigid flat foot: it is a structural
deformity where the medial longitudinal
arch of foot is absent in NWB,WB and
toe standing
•Flexible flat foot: the arch is reduced
during normal wt. bearing,but reappears
during toe standing and non wt. bearing
Biomechanics of posture
Pes Cavus
•The medial longitudinal arch of foot may be
unusually high
•A high arch is called pes cavus
•It is a more stable position of foot than pes
planus,Wt. borne-lat. borders of foot
•Lateral lig. and peroneus longus muscle
stretched
Biomechanics of posture

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Hallux Valgus
•It is a very fairly common deformity- medial deviation
of the first metatarsal at tarsometatarsal jt. and lateral
deviation of phalanges at MTP jt.
•Bursa on the medial aspect of first MTP head may be
inflammed- Bunion
Biomechanics of posture
Genu Valgum (knock knee)
•In genu valgum,mechanical axes of LE are displaced lat.
and patella may be displaced lat.
•If genu valgum exceeds 30° and persists beyond 8yrs of
age – structural changes occur
•Medial knee jt. structures – abnormal tensile or
distraction stress
•Lateral knee jt. Structures – abnormal compressive
stress
Biomechanics of posture

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Genu varum (bow legs)
•Knees are widely seperated when the feet are
together
•Cortical thickening on medial concavity – on femur
and tibia – increased compressive force
•Patella may be displaced medially
Squinting or Cross-Eyed Patella
•A.k.a in-facing patella
•Tilted/rotated position of patella
•Superior medial pole of patella faces medially
•Inferior pole faces laterally
•Q-angle may be increased
Biomechanics of posture
Grasshopper Eyes Patella
•High laterally displaced position of patella
•Patella faces upward and outward

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Scoliosis
Lateral deviations of a series of vertebrae
from the LOG in one or more regions of the
spine may indicate the presence of lateral
spinal curvature
Biomechanics of posture
Idiopathic Scoliosis
•Lateral flexion moment present
•Deviation of vertebrae with rotation
•Compression of vertebral body on the side of concavity
of curve
•Therfore,inhibition of growth of vertebral body on that
side
•This leads to wedging of vertebra
•Shortening of trunk muscle on concavity
•Convexity- stretching of muscles,ligaments and joint
capsules
Non-structural Scoliosis
•A.k.a functional curves
•Can be reversed if the cause of curve is
corrected
•These curves are a result of correctable
imbalance such as limb length discrepancy
or a muscle spasm

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References
• Joint Structure and Function by Pamela K.
Levangie & Cynthia C. Norkin (5th Edition) .
THANK YOU

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Biomechanics of posture

  • 1. BIOMECHANICS OF POSTURE MODERATOR- Mr. Prabhu. C Presented By- Kumar Vibhanshu
  • 2. Definition Posture is the attitude assumed by the body either with support during muscular inactivity,or by means of the co-ordinated action of many muscles working to maintain stability
  • 3. INTRODUCTION •Static and Dynamic Posture •Posture Control •Major Goals and Basic Elements of Control
  • 4. Static and Dynamic Posture •Static- body and its segments are aligned and maintained.Eg’s Sitting, Standing. •Dynamic- body or its segments are moving.Eg’s Walking, Running
  • 5. Erect bipedal stance Advantage: freedom for upper extremities Disadv: -increases work of heart -increase stress on vertebral col.,pelvis,LE -reduces stability -small BOS and high COG
  • 6. Quadrupedal stance -Body weight is distributed b/w UE and LE -Large BOS and low COG
  • 8. Postural Control It is a persons’ ability-maintain stability of body and body segments in response to forces that disturb the bodys’ structural equilibrium
  • 9. •Posture control depends on integrity of CNS,visual, vestibular and musculoskeletal system •It also depends on information from receptors located in and around joints (jt.capsules,tendons and ligaments) and from the sole of feet
  • 10. Major Goals and Basic Elements of Control Major goals: •Control the bodys’ orientation •Maintain bodys’ COG over BOS •Stabilize the head vertically- eye gaze is appropriately oriented
  • 11. -Absent or altered inputs: •In absence of normal gravitational force in weightless conditions during space flight •Occurs in decreased sensation of LE -Altered outputs: •Inability of the muscles to respond app. to signals from the CNS • ms of a person in peripheral nerve damage
  • 12. Muscle synergies - “PERTURBATION” is any sudden change in conditions that displaces the body posture away from equilibrium Perturbation sensory mechanical (altering of visual (displacements- movts of input) body segments or of entire body)
  • 13. Postural responses to perturbations caused by either platform or by pushes or pulls are called REACTIVE or COMPENSATORY response These responses are a.k.a SYNERGIES or STRATEGIES
  • 15. Fixed-support synergies: patterns of muscle activity in which the BOS remains fixed during the perturbation and recovery of equilibrium •stability is regained through movements of parts of the body but,the feet remain fixed on BOS eg:Ankle synergy,Hip synergy
  • 16. Ankle Synergy Ankle synergy consists of discrete bursts of muscle activity on either the anterior or posterior aspects of the body that occur in a distal-to-proximal pattern in response to forward and backward movements of the supporting platform respectively
  • 20. Hip Synergy Hip synergy consists of discrete bursts of muscle activity opposite to ankle pattern in a proximal-distal pattern of activation
  • 21. Change-in-support Synergies •Includes stepping (forward,backward, sideways) and grasping (using one’s hands to grasp a bar or other fixed support) in response to movements of the platform •Maintains stability in the instance of large perturbation
  • 22. Head Stabilizing Strategies •Proactive strategy: occur in anticipation of initiation of internally generated forces •Used in dynamic equilibrium situation Eg: maintain the head during walking
  • 23. Strategies for maintaining the vertical stability of head •Head stabilization in space (HSS) •Head stabilization on trunk (HST)
  • 24. •HSS : modification of head position in anticipation of displacements of the body’s COG •HST : head and trunk move as a single unit
  • 25. Kinetics and Kinematics of Posture External forces: Inertia,Gravity and Ground Reaction Forces(GRF’s) Internal forces: muscle activity,passive tension in ligaments,tendons,jt. capsules and other soft tissue structures
  • 26. Inertia •In the erect standing posture the body undergoes a constant swaying motion called postural sway or sway envelope •Sway envelope for a normal individual,standing with 4” b/w the feet – 12° in sagittal plane and 16° in frontal plane
  • 27. Gravity •Gravitational forces act downward from the body’s COG •In static erect standing posture,the LOG must fall within the BOS,which is typically the space defined by the two feet
  • 29. Ground Reaction Forces •GRFV is equal in magnitude but opposite in direction to the gravitational force in erect standing posture •The point of application of GRFV is at the body’s centre of pressure(COP) •COP is located in the foot in unilateral stance and b/w the feet in bilateral standing postures
  • 31. Coincident Action Lines The GRFV and the LOG have coincident action lines in static erect posture
  • 32. Optimal or Ideal Posture -An ideal posture is one in which the body segments are aligned vertically and LOG passes through all the jt. axes -Normal body structures makes it impossible to achieve,but is possible to attain a posture,close to ideal one
  • 33. -In normal standing posture,the LOG falls close to,but not through most jt. axes -Compressive forces are distributed over the weight bearing surfaces of jt’s; no excessive tension exerted on ligamentous or required muscles
  • 34. Analysis of Posture •Skilled observational analysis of posture involves identification of the location of body segments relative to the LOG •Body segments-either side of LOG- symmetrical
  • 35. •A plumb line is used to represent the LOG •Postural analysis may be performed using; radiography,photography,EMG, electrogoniometry,force plates, 3- dimensional computer analysis
  • 47. Lateral view- Deviations from optimal alignment •Foot and Toes: -Claw toe -Hammer toe •Knee: -Flexed Knee Posture -Genu Recurvatum •Pelvis: -Excessive Anterior Pelvic Tilt
  • 49. Claw Toes •Deformity of toes- hyperextension of MTP jt., flexion of PIP and DIP jt.’s ���Callus- dorsal aspect of flexed phalanges •Affects all toes (2nd through 5th)
  • 52. Hammer Toe •Deformity-hyperextension of MTP and DIP jt.’s - flexion of PIP jt. •Callus on superior surface of PIP jt.’s
  • 61. Lordosis It refers to an abnormal increase in the normal anterior convexities of either the cervical or lumbar regions of the vertebral column
  • 66. Kyphosis It refers to an abnormal increase in the normal posterior convexity of the thoracic vertebral column
  • 70. Gibbus •a.k.a Hump Back is a deformity that may occur as result of TB •It forms a sharp posterior angulation in the upper thoracic region of vertebral column
  • 72. Dowager’s Hump •Found in post-menopausal women with osteoporosis •Anterior aspect of bodies of series of vertebra collapse due to osteoporotic weakening and therefore, increase in post. convexity of thoracic area
  • 81. Optimal alignment-Anterior aspect Body segments • Head • Chest • Abdomen/hips • Hips/pelvis • Knees • Ankles/feet LOG location • Middle of forehead,nose,chin • Middle of xyphoid process • Through umbilicus • Line equidistant from rt and lt ASIS and through symphysis pubis • Equidistant from medial femoral condyles • Equidistant from the medial malleoli
  • 82. Optimal alignment-Posterior aspect • Head • Shoulders/spine • Hips/pelvis • Knees • Ankles/feet • Middle of head • Along vertebral column in a straight line,which should bisect the back into two symmetrical halves • Through gluteal cleft of buttocks and equidistant from PSIS • Equidistant from medial jt. aspects • Equidistant from medial malleoli
  • 83. Anterior-posterior View – Deviations from the optimal alignment •Foot and Toes: -Pes planus -Pes cavus -Hallux valgus •Knees: -Genu valgum -Genu varum -Squinting or cross-eyed patella -Grasshopper eyes patella •Vertebral column: -Scoliosis
  • 84. Pes Planus(flat foot) •It is characterized by reduced or absent arch,which may be either rigid or flexible •Talar head-displaced-ant.,med.,inf. and causes depression of navicular bone and lenghthening of tibialis post. muscle •Navicular lies below the Feiss line and may even rest on the floor in severe conditions
  • 85. •Rigid flat foot: it is a structural deformity where the medial longitudinal arch of foot is absent in NWB,WB and toe standing •Flexible flat foot: the arch is reduced during normal wt. bearing,but reappears during toe standing and non wt. bearing
  • 87. Pes Cavus •The medial longitudinal arch of foot may be unusually high •A high arch is called pes cavus •It is a more stable position of foot than pes planus,Wt. borne-lat. borders of foot •Lateral lig. and peroneus longus muscle stretched
  • 89. Hallux Valgus •It is a very fairly common deformity- medial deviation of the first metatarsal at tarsometatarsal jt. and lateral deviation of phalanges at MTP jt. •Bursa on the medial aspect of first MTP head may be inflammed- Bunion
  • 91. Genu Valgum (knock knee) •In genu valgum,mechanical axes of LE are displaced lat. and patella may be displaced lat. •If genu valgum exceeds 30° and persists beyond 8yrs of age – structural changes occur •Medial knee jt. structures – abnormal tensile or distraction stress •Lateral knee jt. Structures – abnormal compressive stress
  • 93. Genu varum (bow legs) •Knees are widely seperated when the feet are together •Cortical thickening on medial concavity – on femur and tibia – increased compressive force •Patella may be displaced medially
  • 94. Squinting or Cross-Eyed Patella •A.k.a in-facing patella •Tilted/rotated position of patella •Superior medial pole of patella faces medially •Inferior pole faces laterally •Q-angle may be increased
  • 96. Grasshopper Eyes Patella •High laterally displaced position of patella •Patella faces upward and outward
  • 97. Scoliosis Lateral deviations of a series of vertebrae from the LOG in one or more regions of the spine may indicate the presence of lateral spinal curvature
  • 99. Idiopathic Scoliosis •Lateral flexion moment present •Deviation of vertebrae with rotation •Compression of vertebral body on the side of concavity of curve •Therfore,inhibition of growth of vertebral body on that side •This leads to wedging of vertebra •Shortening of trunk muscle on concavity •Convexity- stretching of muscles,ligaments and joint capsules
  • 100. Non-structural Scoliosis •A.k.a functional curves •Can be reversed if the cause of curve is corrected •These curves are a result of correctable imbalance such as limb length discrepancy or a muscle spasm
  • 101. References • Joint Structure and Function by Pamela K. Levangie & Cynthia C. Norkin (5th Edition) .